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<title>Documento sin t&iacute;tulo</title>
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<table width="483" height="821" border="0">
  <tr>
    <td height="32" colspan="4"><div align="center">TRABAJA CON NOSOTROS </div></td>
  </tr>
  <tr>
    <td width="134" height="21">&nbsp;</td>
    <td colspan="3">&nbsp;</td>
  </tr>
  <tr>
    <td><span class="Estilo8">Nombres</span></td>
    <td colspan="3">      <input name="textfield" type="text" size="45" />    </td>
  </tr>
  <tr>
    <td><span class="Estilo8">Apellido Paterno </span></td>
    <td colspan="3">      <input name="textfield2" type="text" size="45" />    </td>
  </tr>
  <tr>
    <td><span class="Estilo8">Apellido Materno </span></td>
    <td colspan="3">      <input name="textfield3" type="text" size="45" />    </td>
  </tr>
  <tr>
    <td><span class="Estilo8">D.N.I.</span></td>
    <td colspan="3">      <input type="text" name="textfield4" />    </td>
  </tr>
  <tr>
    <td><span class="Estilo8">Email</span></td>
    <td colspan="3">      <input name="textfield5" type="text" size="50" />    </td>
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  <tr>
    <td><span class="Estilo8">Telefono Fijo </span></td>
    <td colspan="3">      <input type="text" name="textfield6" />    </td>
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  <tr>
    <td><span class="Estilo8">Celular</span></td>
    <td colspan="3">      <input type="text" name="textfield7" />    </td>
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  <tr>
    <td><span class="Estilo8">Fecha Nacimiento </span></td>
    <td colspan="3">      <input type="text" name="textfield9" />    </td>
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    <td><span class="Estilo8">Edad</span></td>
    <td colspan="3">      <input type="text" name="textfield8" />    </td>
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  <tr>
    <td><span class="Estilo8">Tiene Hijos </span></td>
    <td colspan="2">      <input name="radiobutton" type="radio" value="radiobutton" />
    Si    </td>
    <td width="86">      <input name="radiobutton" type="radio" value="radiobutton" />
    No    </td>
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  <tr>
    <td><span class="Estilo8">Cuantos</span></td>
    <td colspan="3">      <input type="text" name="textfield10" />    </td>
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    <td><span class="Estilo8">Sexo</span></td>
    <td colspan="2">      <input name="radiobutton" type="radio" value="radiobutton" />
      M    </td>
    <td>      <input name="radiobutton" type="radio" value="radiobutton" />
      F    </td>
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  <tr>
    <td><span class="Estilo8">Estado Civil </span></td>
    <td colspan="3">      <select name="select">
        <option value="0">Seleccione..</option>
        <option value="1">Soltero</option>
        <option value="2">Casado</option>
      </select>    </td>
  </tr>
  <tr>
    <td><span class="Estilo8">Direccion</span></td>
    <td colspan="3">      <input type="text" name="textfield11" />    </td>
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  <tr>
    <td><span class="Estilo8">Departamento</span></td>
    <td colspan="3">      <input type="text" name="textfield12" />    </td>
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  <tr>
    <td><span class="Estilo8">Provincia</span></td>
    <td colspan="3">      <input type="text" name="textfield13" />    </td>
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  <tr>
    <td><p class="Estilo8">Distritos</p>    </td>
    <td colspan="3">      <input type="text" name="textfield14" />    </td>
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    <td><span class="Estilo8">Grado Instruccion </span></td>
    <td colspan="3">      <select name="select2" size="1">
        <option value="0" selected="selected">Seleccione..</option>
        <option value="1">Finanzas Bancarias</option>
        <option value="2">Econom&iacute;a</option>
      </select>    </td>
  </tr>
  <tr>
    <td><span class="Estilo8">Carrera</span></td>
    <td colspan="3">      <select name="cmbcarrera" id="cmbcarrera">
      </select>    </td>
  </tr>
  <tr>
    <td><span class="Estilo8">Centro de Estudios </span></td>
    <td colspan="3">      <input name="txtcentro" type="text" id="txtcentro" />    </td>
  </tr>
  <tr>
    <td><span class="Estilo8">Duracion de Carrera </span></td>
    <td colspan="3">      <input name="txtduracion" type="text" id="txtduracion" />    </td>
  </tr>
  <tr>
    <td><span class="Estilo8">Cineplanet</span></td>
    <td colspan="3">      <select name="cmbcine" id="cmbcine">
      </select>    </td>
  </tr>
  <tr>
    <td>Comentario Adicional </td>
    <td colspan="3">      <textarea name="txtcoment" cols="46" rows="3" id="txtcoment"></textarea>    </td>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td colspan="3">&nbsp;</td>
  </tr>
  <tr>
    <td height="28">&nbsp;</td>
    <td width="179">
      <div align="center">
        <input name="btnConfirmar" type="submit" id="btnConfirmar" value="Confirmar" />
      </div>
    </td>
    <td width="66">      <div align="center">
        <input name="btnCancelar" type="submit" id="btnCancelar" value="Cancelar" />
    </div></td>
    <td>&nbsp;</td>
  </tr>
  
</table>
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